Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VIII - Intellectual Disability and Autism Manual
Subpart C - Administration and Fiscal Management
Chapter 6211 - ALLOWABLE COST REIMBURSEMENT FOR NON-STATE OPERATED INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH AN INTELLECTUAL DISABILITY
REIMBURSEMENT
Section 6211.42 - Allowable costs

Universal Citation: 55 PA Code ยง 6211.42

Current through Register Vol. 54, No. 44, November 2, 2024

(a) A facility's direct or indirect allowable costs related to client care are considered in the finding and allocation of costs to the MA Program for its eligible recipients.

(b) Total allowable costs of a facility shall be apportioned between third-party payors and other clients so that, within the limits of this subchapter, the share borne by MA under Title XIX of the Social Security Act (42 U.S.C.A. §§ 1396-1396p) is based upon those actual services and costs related to MA clients. Allowable costs shall be apportioned by multiplying the interim per diem cost by the number of eligible client days for MA clients.

(c) The provider is responsible for the accounting of all costs and services. All miscellaneous costs shall be documented and justified to the Department. Allowable costs do not include charity, in-kind and courtesy allowances.

(d) If, under MA principles, there is more than one method for handling a cost item, the method initially elected by the provider shall be followed consistently in subsequent reporting periods, unless there is prior written justification and approval from the Department for using a different method.

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